Revista española de cardiología (English ed.)最新文献

{"title":"Population-based cardiovascular screening in primary care: from feasibility to equity and clinical impact.","authors":"Juan Cosín-Sales, Alicia M Maceira, Vicente Pallarés-Carratalá","doi":"10.1016/j.rec.2026.07.013","DOIUrl":"https://doi.org/10.1016/j.rec.2026.07.013","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spanish catheter ablation registry. 25th official report of the Heart Rhythm Association of the Spanish Society of Cardiology (2025).","authors":"José Manuel Rubio-Campal, Bieito Campos García, Pablo Bastos Amador, Felipe Rodríguez-Entem, David Calvo Cuervo","doi":"10.1016/j.rec.2026.07.012","DOIUrl":"https://doi.org/10.1016/j.rec.2026.07.012","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>We report the results of the 2025 Spanish catheter ablation registry.</p><p><strong>Methods: </strong>This retrospective registry included catheter ablation procedures performed at participating hospitals in Spain and recorded in the REDCap database using a dedicated data collection form.</p><p><strong>Results: </strong>A total of 109 centers participated, reporting 33 435 ablations. Atrial fibrillation was the most commonly treated arrhythmia (14 452 cases), with single-shot techniques being the most frequently used approach (63%) and a marked increase in pulsed field ablation (37% vs 21% in 2024). The remaining arrhythmia substrates remained at similar levels. The overall acute success rate was 95%, the complication rate was 1.6%, and the mortality rate was 0.04%. There was a marked increase in outpatient procedures (33% vs 18% in 2024), particularly atrioventricular nodal re-entrant tachycardia ablation (50%) and cavotricuspid isthmus ablation (45%). A total of 467 pediatric ablations were performed in 38 centers. Accessory pathway ablation was the most common procedure (65.3%), with a 97% success rate.</p><p><strong>Conclusions: </strong>A similar number of centers participated, with a slight increase in the number of procedures compared with 2024. Atrial fibrillation remained the most frequently treated arrhythmia. Acute success, complication, and mortality rates remained stable. The accreditation process for centers and professionals is well-established, with a stable number of annual accreditations. Full English text available from: www.revespcardiol.org/en.</p>","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and results of the implementation of a post-discharge coordination circuit for patients with acute heart failure from the emergency department.","authors":"Ignasi Bellavista-Crespo, Pasqual Llongueras-Espí, Carlos Moliner-Abós, Paula Fluvià-Brugués, Maria Àngels Gispert Ametller, Aleix Fort Pal","doi":"10.1016/j.rec.2026.08.013","DOIUrl":"https://doi.org/10.1016/j.rec.2026.08.013","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149228953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anticoagulation strategies during peripheral ultrafiltration in diuretic-resistant congestive heart failure.","authors":"Borja Guerrero Cervera, Raquel López-Vilella, Valero Vicente Soriano Alfonso, Amparo Salvador Mora, Víctor Donoso Trenado, Julia Martínez Solé, Mireia Company Langa, María Peris-Fernández, Sara Huélamo Montoro, Amparo Soldevila-Orient, Luis Martínez Dolz, Luis Almenar-Bonet","doi":"10.1016/j.rec.2026.08.012","DOIUrl":"https://doi.org/10.1016/j.rec.2026.08.012","url":null,"abstract":"<p><p>Introduction and objectives Peripheral ultrafiltration (UF) is an effective strategy for the management of diuretic-resistant congestion in patients with decompensated heart failure. However, extracorporeal circuit clotting remains one of the main technical limitations of the procedure, and the optimal anticoagulation strategy during UF has not been clearly established. The primary aim of this study was to evaluate the efficacy and safety of different anticoagulation strategies during UF. Methods This prospective, nonrandomized, single-center study included 87 consecutive patients who underwent UF between January 2021 and November 2025. The anticoagulation strategy was tailored according to the patients' baseline anticoagulant therapy: unfractionated heparin (UFH), n = 8; low-molecular-weight heparin (LMWH), n = 41; vitamin K antagonists (VKAs), n = 12; and direct oral anticoagulants (DOACs), n = 26. Procedural efficacy was defined as successful completion of the UF session without premature interruption due to extracorporeal circuit dysfunction or clinical complications. Results Baseline characteristics and UF technical parameters were comparable among groups (P > .1). Procedural efficacy was highest with intravenous heparin (UFH = 100%, LMWH = 48.7%, VKAs = 66.6%, and DOACs = 65.4%; P = .048). Extracorporeal circuit clotting was more frequent with subcutaneous heparin (UFH = 0%, LMWH = 31.7%, VKAs = 25%, and DOACs = 27%; P = .018). Conclusions UFH was associated with a lower rate of extracorporeal circuit clotting and a higher rate of successful UF completion. Complications were infrequent. Given the observational design and the small sample size, these findings warrant confirmation in larger prospective studies. Full English text available from: www.revespcardiol.org/en.</p>","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149207938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex disparities in STEMI and stroke outcomes persist despite universal health care: a nationwide study in Spain (2007-2022).","authors":"Antonia Sambola, José M Gámez, Diego Alvaredo, Mila Pedreira, Carolina Ortiz-Cortés, Leticia Fernández-Friera, José L Bernal, Náyade Prado, Javier Elola-Somoza, Raquel Campuzano-Ruiz, Clara Bonanad, Manuel Anguita-Sánchez","doi":"10.1016/j.rec.2026.07.007","DOIUrl":"10.1016/j.rec.2026.07.007","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>Sex disparities in cardiovascular disease (CVD) outcomes persist despite advances in prevention and care. We assessed sex-specific trends in CVD hospitalizations, in-hospital mortality and length of stay in Spain, a high-income country with universal health care, from 2007 to 2022.</p><p><strong>Methods: </strong>We conducted a nationwide, retrospective, population-based study including all adults (≥ 18 years) hospitalized with a primary CVD diagnosis. Analyses focused on ST-elevation myocardial infarction (STEMI), non-ST-elevation myocardial infarction, stroke, heart failure (HF), and aortic stenosis. Age-standardized hospitalization rates were estimated by sex. Multivariable logistic regression models assessed the association between female sex and in-hospital mortality for 2007 to 2015 and 2016 to 2022, and temporal trends were evaluated using Joinpoint regression.</p><p><strong>Results: </strong>Among 6 734 967 hospitalizations, women accounted for 43.9%, were older, and had greater comorbidity than men. Men had higher crude admission rates for all conditions except HF, which predominated in women; age-standardized trends were similar between the sexes. Median length of stay declined overall and remained slightly longer in women. Crude in-hospital mortality was higher in women than in men (10.1% vs 7.6%; P <.001) among all conditions. After adjustment, female sex independently predicted higher in-hospital mortality after STEMI (OR, 1.29 and 1.25) and stroke (OR, 1.13 and 1.15) in both study periods but was slightly protective in HF (OR, 0.97 and 0.96). Risk-adjusted in-hospital mortality declined significantly over time among all cardiovascular conditions, with no significant sex differences in temporal trends.</p><p><strong>Conclusions: </strong>Persistent excess in-hospital mortality among women with STEMI and stroke suggests that universal health care alone does not ensure equity in cardiovascular outcomes.</p>","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of the wearable cardioverter-defibrillator in Spain: the first 300 patients.","authors":"Carlos Escobar, David Vivas, Román Freixa, Víctor Expósito, Josep Melero, José Luis Merino","doi":"10.1016/j.rec.2026.05.013","DOIUrl":"https://doi.org/10.1016/j.rec.2026.05.013","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CMR-derived anatomical indices for arrhythmia risk stratification in Ebstein anomaly.","authors":"Thomas Urbina-Ariza, Andrés Felipe Ochoa-Díaz, Isabella Casallas-Gutiérrez, Sergio Alejandro Gómez-Ochoa, Mark A Fogel, Carlos Eduardo Guerrero-Chalela","doi":"10.1016/j.rec.2026.09.003","DOIUrl":"https://doi.org/10.1016/j.rec.2026.09.003","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of different conduction disturbance management strategies after TAVI on 1-year clinical outcomes: the GLAM-TAVI registry.","authors":"Laura Novelli, Giovanni Occhipinti, Claudio Laudani, Marta Herrero Brocal, Mario García Gómez, Carolina Pascucci, Pier Pasquale Leone, Nerea Fernández Ortiz, Javier Pineda, Omar Abdul-Jawad Altisent, Bernhard Reimers, Juan Torrado, Filippo Pensotti, Jose Luis Díez Gil, Xavier Freixa, Luis Martínez Dolz, Juan Miguel Ruiz-Nodar, Ignacio Amat-Santos, Ander Regueiro, Azeem Latib, Jorge Sanz Sánchez","doi":"10.1016/j.rec.2026.10.001","DOIUrl":"https://doi.org/10.1016/j.rec.2026.10.001","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>New-onset conduction disturbances (CDs) occur in up to 50% of patients undergoing transcatheter aortic valve implantation (TAVI). However, thresholds for permanent pacemaker implantation (PPI) vary widely among centers, resulting in 30-day implantation rates ranging from 0% to 36%. The aim of this study was to compare 1-year clinical outcomes between a standardized guideline-directed strategy and an individualized management strategy for post-TAVI CD management.</p><p><strong>Methods: </strong>The GLAM-TAVI was an investigator-initiated, ambispective study including patients who developed CDs after TAVI at 6 centers in Europe and the United States. Centers were prespecified as adopting either a standardized guideline-directed or an individualized strategy, based on the use of a watchful waiting approach during the index hospitalization for nonadvanced CDs. The primary endpoint was a composite of all-cause death or unplanned rehospitalization for CD-related events at 1 year. Time-to-event analyses used Cox models with cluster-robust standard errors and inverse probability of treatment weighting.</p><p><strong>Results: </strong>Among 1573 patients undergoing TAVI during the study period, 345 (21.9%) developed postprocedural CDs and constituted the study population. These patients were managed with either an individualized (n = 160) or standardized strategy (n = 185). At 1 year, the incidence of the primary endpoint was similar with the individualized and standardized strategies (13.6% vs 7.1%; aHR, 1.23; 95%CI, 0.56-2.69). Individualized management was associated with higher cardiovascular mortality (8.4% vs 1.2%; aHR, 9.10; 95%CI, 1.59-52.18) and a lower PPI rate (49.4% vs 80.2%; aHR, 0.61; 95%CI, 0.43-0.86).</p><p><strong>Conclusions: </strong>In GLAM-TAVI, an individualized CD management strategy was associated with a lower PPI rate and higher cardiovascular mortality, although these findings should be interpreted with caution. These results highlight the need for structured, guideline-aligned risk stratification and rhythm surveillance when pacemaker-sparing approaches are adopted.</p>","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of low-flow, very low-gradient aortic stenosis on survival and objective functional recovery after TAVI.","authors":"José M de la Torre-Hernández, Gabriela Veiga, Rigoberto Hernández, Nicolás Maneiro Melón, Leire Andraka, Miguel Artaiz, Sergio García-Blas, Ignacio J Amat Santos, Antonio J Muñoz-García, Joaquín Sánchez Gila, Manuel López Pérez, Francisco Ten, Guillermo Galeote, María Cruz Ferrer, Juan Francisco Oteo Domínguez, Luisa Salido, Cristobal Urbano-Carrillo, Tamara García Camarero, Lluis Asmarats, Bruno García Del Blanco, Raquel Del Valle, Luis Nombela, Juan M Ruiz-Nodar, Enrique Gutiérrez, Víctor Fradejas-Sastre, Ander Regueiro, Carlos Cuellas, Valeriano Ruiz Quevedo, Jessica Roa, Soledad Ojeda, Pilar Jiménez Quevedo","doi":"10.1016/j.rec.2026.09.002","DOIUrl":"https://doi.org/10.1016/j.rec.2026.09.002","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>It is unclear how the magnitude of reductions in baseline mean aortic gradient and flow affects clinical outcomes after TAVI. This study aimed to assess the prognostic impact of low-flow very low-gradient (LF-VLG) aortic stenosis on survival and objective functional recovery after TAVI.</p><p><strong>Methods: </strong>Data from the Spanish TAVI Registry were analyzed. Three groups were included: high-gradient (≥ 40 mmHg), low-flow low-gradient (LF-LG) (20-39 mmHg) and LF-VLG (≤ 20 mmHg). A prospective single-center substudy was conducted to evaluate objective functional recovery after TAVI.</p><p><strong>Results: </strong>A total of 17 836 patients were included. Two-year survival was 82% in the high-gradient group (n = 12 800), 79% in the LF-LG group (n = 4126), and 73.2% in the LF-VLG group (n = 495) (P < .0001). In patients with LF-VLG, coronary artery disease and atrial fibrillation, but not ejection fraction, independently predicted mortality. In a cohort of 465 patients, objective improvement was observed in 88% of patients in the high-gradient group, 70% in the LF-LG group, and 57% in the LF-VLG group (P < .0001).</p><p><strong>Conclusions: </strong>Patients with LF-VLG aortic stenosis show reduced but acceptable 2-year survival regardless of ejection fraction and limited functional recovery at 6 months after TAVI. Coronary artery disease and atrial fibrillation were independent predictors of mortality.</p>","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Univentricular heart with anomalous venous drainage and pulmonary sling","authors":"Marek Kardos,&nbsp;Monika Kaldararova,&nbsp;Andrea Kantorova","doi":"10.1016/j.rec.2026.03.004","DOIUrl":"10.1016/j.rec.2026.03.004","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":"79 10","pages":"Pages 877-879"},"PeriodicalIF":4.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}